Template:ItemList/Active

Name	Icon	Flavor Text	Effect	Recharge	Quality
Baptismal Font		Redemptive flood	Converts enemies in the room into weaker versions of themselves based off of a pre-defined evolution-tree.		1
Black Box		What's inside?	+4 luck while held. Each use: -0.5 luck permanently. Chance to spawn an Item, Black Heart, Card, or hostile Spiders based on luck.		3
Black Hammer		I'll be the judge of that	On use, replaces tears with random numbers from 1 to 9. Damage of the numbers scales from 0.33x to 2.66x on numbers 1-8 and is quintupled on 9. Each number has a different unique effect.		2
Book of Genesis		And God saw that it was good	On use, grants a Black Heart. Passively doubles all damage taken.		2
Book of Mormon		Do you have a moment?	On use, causes Isaac to hold the item above his head and creating an aura around him. Enemies inside the aura are inflicted with fear.		1
Communion		Excommunicated tears	On use, reverses the trajectory of all enemy projectiles and transforms them into friendly homing tears. Additionally, all Troll Bombs are transformed into homing Bobby-Bombs.		1
Death Cap		Strength through mithriditism	Can be used 6 times in total. When using for the first 5 times, Isaac takes damage and permanently gains the following modifiers: -0.35 Damage. -0.06 Speed. -0.06 Shot Speed. 5% chance to fire a poison tear. When using for the 6th time, Isaac heals to full health and permanently gains the following modifiers: +2.75 Damage. 1.5x Damage Multiplier. +0.5 Speed. +0.5 Shot Speed.		3
False Idol		An untrue faith	On use, grants a familiar that passively grants +10.9 Luck. The familiar is removed after leaving the room.		3
Lily		No need for peace	On use, explodes any enemies with less than 1/3 of their maximum health remaining. Does not work on bosses. Valid enemies will faintly glow red.		1
Sculpting Clay		Reusable item mimic	On use, grants a copy of the closest passive item. Cannot be used if there are no valid items to copy. After being used, becomes unusable until the next floor.		3
Pumpkin Mask		Soul for a soul	On use, grants 12 Soul Hearts but causes Isaac to take damage every 60 seconds thereafter. 1 second after taking damage from this effect, Isaac will fire a Brimstone beam.		1
Shattered Dice		Unconscious influence	On use, spawns a Shattered Shard and a few coins. Will be automatically used if dropped. Passively rerolls picked up items, attempting to reroll them into items of higher quality.		3
Bell of Circe		It tolls for pigs	On use, transforms a random enemy into a Circe Swine. Has a chance, that inversely scales with the amount of enemies in the room, to transform Isaac instead. When transformed, Isaac receives an all stats down and the item becomes unusable until the next room.		2
Bottled Fairy		Let your wounds heal	On use, heals Isaac to full. Will be used automatically if Isaac is about to take fatal damage.		3
Meat Grinder		A taste for oneself	On use, deals damage to Isaac and spawns a Swine Beggar.		3
Snap Bang		Snap, crackle, pop	On use, creates a small explosive charge on the ground. When an enemy touches the charge, it explodes, dealing 10x Isaac's damage and confusing all enemies within a small radius of the explosion.		2
Stained Shard		Fragile protection	On use, summons a ring of red glass shards that block enemy projectiles and deal contact damage to enemies themselves. When a shard blocks a shot, it breaks and if it breaks while in contact with an enemy, that enemy will be inflicted with bleeding.		1
Dowsing Rod		Water witching	On use, causes Isaac to hold the item above his head. While held, causes tears to fall from the sky and eventually also summons Holy Light beams. The longer the item is held, the more frequently the tears and beams will be summoned. The item can be held between rooms, maintaining the strength of the of effect.		2
Everlasting Pill		Stat-alteration free	On use, activates a random pill effect. Cannot activate stat-altering effects.		1
Fry's Paw		Bone converter	On use, removes one filled Heart Container, grants 2 empty Bone Hearts and creates a puddle of red creep underneath Isaac. Has no effect if Isaac has no filled Heart Containers.		1
Melatonin		Zzz...	On use, paralyses Isaac for 2 seconds and grants the following effects for the current room: +0.75 Tears. Hitting enemies with tears will gradually slow them down. If an enemy is hit with enough tears it briefly freezes. Sleeping in a bed now grants a Heart Container.		2
Monster Candy		Proof of evolution	On use, allows Isaac to throw a special projectile, in a similar fashion to Friendly Ball. Hitting an enemy with the projectile makes it permanently friendly and attempts to upgrade it to a stronger form. If the projectile does not hit an enemy, upon landing on the ground, it becomes a Monster Candy pickup.		2
Moonlit Mirror		Transdimensional bidding	On use, replaces all pickups in the room that are not purchasables into either 3 Pennies or a Nickel, based on Luck. Does not work on items, coins and open chests.		2
Gacha-Go		Pull on the go	On use, consumes 5 coins and spawns one of the following: A random Capsule. A Minicapsule. A Pill. A Trinket.		1
Bone Saw		Time to lose your medical licence	On use, if near beggars or shopkeepers, destroys them instantly. Killing said beggars and shopkeepers spawns 2 bone orbitals from each. Butchering beggars has a chance to drop a random item from the Bone Saw Item Pool.		3
The Iliad		Achilles' wrath	On use, causes Isaac to hold the item above his head. Pressing a fire button afterwards causes several spears to fire from the wall behind the pressed direction. The spears break upon impact with obstacles but pierce enemies and deal heavy damage.		2
The Odyssey		Poseidon's wrath	On use, causes the following effects to happen: Spawns a large pool of blue creep. Destroys nearby rocks. Attaches Derelict Anchor anchors to nearby enemies.		2
Coinflip		Ricoshot	On pickup, grants 3 coins. On use, consumes a coin, 1 charge notch and spawns a spinning coin. The spinning coin ricochets Isaac's tears into enemies, multiplying their damage by 1.5. Picking up the coin before it disappears grants 1 charge notch back.		3
Blazing Beak		Burning for curses	Passively causes enemies to sometimes drop Cursed Trinkets upon dying. Cursed Trinkets are auto-smelted on pickup. On use, deals 1 damage to Isaac and sells every Cursed Trinket he possesses.		3
Lifeblood Syringe		Vital injection	Starts with 4 charges out of 8. Can be recharged only by killing Lifeseed Spirits that sometimes spawn when killing enemies. On use, grants 2 Soul Hearts.		3
Bygone Arm		Feedbacker	On use, swings an arm, in a similar fashion to Forgotten's bone club. The arm can reflect enemy projectiles and, with tighter timing, boost Isaac's own tears. Reflected projectiles and boosted tears explode on contact with enemies or obstacles. Can be used from any item slot by pressing the button tied to consuming cards and pills, so long as Isaac has no consumable that would otherwise be used.		3
The Pig Bang		Here we go again	On use, spawns a small pig with explosives attached to it. The pig will slowly chase the closest enemy and after 5 explodes like a Giga Bomb.		3
Seed Sack		Pullroots!	On use, spawns 3-5 Pullroot saplings, alongside 3-5 offscreen Melitodes Bees which attempt to pollinate the saplings.		3
Puffstool		Smoke bomb	On use, throws a special projectile, in a similar fashion to Bob's Rotten Head. Upon impact, the projectile creates a large, long-lasting cloud of smoke that confuses any enemy that enters it.		3